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This is VAERS ID 329449

Case Details

VAERS ID: 329449 (history)  
Form: Version 1.0  
Age: 0.5  
Gender: Male  
Location: Foreign  
   Days after vaccination:39
Submitted: 2008-10-21
   Days after onset:41
Entered: 2008-10-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Haematochezia, Intussusception, Mucous stools, Pyrexia, Surgery, Vomiting
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal obstruction (narrow), Gastrointestinal haemorrhage (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Ischaemic colitis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data: UNK
CDC Split Type: B0542196A

Write-up: This case was reported by a physician and described the occurrence of intussusception in a 7-month-old male subject who was vaccinated with ROTARIX (GlaxoSmithKline). Previous and/or concurrent vaccination included ROTARIX (GlaxoSmithKline, oral) given on 23 June 2008. On 2 August 2008, the subject received 2nd dose of ROTARIX (oral). Lot number not provided. On 10 September 2008, 39 days after vaccination with ROTARIX, the subject started with vomiting and after experienced 8 currant jelly stools and fever. The patient was admitted at hospital with a suspicion of intussusception. A surgery was performed and the subject was hospitalised for 5 days. At the time of reporting the events were resolved. On 30 September, the subject went to the doctor for follow up and was in good general condition. The physician considered the events were almost certainly related to vaccination with ROTARIX.

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